*

Hospital General S.S.A. de Ayutla, Guerrero, Mexico;

**

InstitutoMexicano de Diagnostico Por Imagen, Mexico;

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Facultad de Medicina-Divison de Posgrado de la Universidad Autonoma de Guerrero.

This is a 28-year-old woman with unremarkable history scanned at 23rd week of gestational age. The ultrasound investigation revealed anencephaly combined with a median cleft lip, and hypotelorism. This suggests that the fetus had alobar holoprosencephaly and anencephaly. Here are some of the images we obtained.